Person: ERGÜN ÖZDEL, ZEYNEP GİZEM
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ERGÜN ÖZDEL
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ZEYNEP GİZEM
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Publication Evaluation of the patients admitted to the pediatric intensive care unit(Galenos Yayincilik, 2017-08-01) Yeğin, L. Nilufer; Sancak, Yasemin; Özdel, Z. Gizem Ergün; ERGÜN ÖZDEL, ZEYNEP GİZEM; Asut, Çiğdem; Bursa Uludağ Üniversitesi/Tıp Fakültesi/Çocuk Sağlığı ve Hastalıkları Anabilim Dalı.; 0000-0002-9328-7287Introduction: This study examined the clinical and demographic characteristics of the patients in our center within a year to create a database.Materials and Methods: A retrospective study was undertaken of 349 children aged 1 mouth to 20 years who admitted to Uludag University Medical Faculty Child Health and Diseases Department, Pediatric Intensive Care Unit (PICU) between March 2013 -March 2014. Age, gender, presence of chronic disease, intensive care unit admission reason, length of stay, duration of mechanical ventilation, mortality rates were evaluated.Results: The mean age of the patients were 7.12 +/- 6.05 years and the average intensive care unit (ICU) stay was 8.47 +/- 13.96 days. Infections, diabetic ketoacidosis and epilepsy were the most common reasons and endocrinology, nephrology and neurological diseases were the most common underlying diseases at admission to the ICU. Mortality was seen 12.9 % of patients. The length of stay, duration of ventilation, oncological diseases and hematologic malignancy were statistical significantly higher than survivor patients.Conclusions: This assessment observed that very different patient groups monitored in PICU, in the majority of patients had underlying chronic disease and this condition is associated with mortality.Publication Healthcare-associated infections in the department of pediatric hematology-oncology; a single center evaluation(Galenos Publishing House, 2024-04) Özdel, Zeynep Gizem Ergün; Çelebi, Solmaz; Güneş, Adalet Meral; Evim, Melike Sezgin; Sevinir, Betül Berrin; Baytan, Birol; Demirkaya, Metin; Köse, Serdal Kenan; Çetin, Benhur; Çelik, Taylan; Salı, Enes; Hacımustafaoğlu, Mustafa; ERGÜN ÖZDEL, ZEYNEP GİZEM; ÇELEBİ, SOLMAZ; MERAL GÜNEŞ, ADALET; SEZGİN EVİM, MELİKE; SEVİNİR, BETÜL BERRİN; HACIMUSTAFAOĞLU, MUSTAFA KEMAL; Bursa Uludağ Üniversitesi/Tıp Fakültesi; H-2691-2017Introduction: With advances in the treatment of Pediatric Hematology -Oncology (PHO) patients, the survival of patients are increasing day by day. However, Healthcare -Associated Infections (HAI) is still a significant cause of mortality and morbidity in this group of patients. This study aimed to evaluate the rates of HAI in patients who were hospitalized in Uludag University Medical Faculty PHO Clinic during the 4 -year study period. Materials and Methods: HAI was diagnosed according to the CDC (Center for Disease Control and Prevention) 2008 criteria. We recorded the number of patients admitted, the number of patients with HAI, the total number of HAI episodes, and the length of stay in hospital. We calculated HAI rate and HAI density (per 1000 patient -days). Results: During the four years, 3069 hospitalizations were recorded in 607 PHO patients (5.05 admissions per patient). 38.6% of the patients were female, and 61.4% male. The mean age was 100.8 +/- 63.6 months. The mean duration of hospitalization was 14 +/- 17.16 days. A total of 232 HAI episodes were recorded in 141 hospitalizations. HAI rate was 7.5%, and HAI density was 5.36/1000 patient -days. Conclusion: The HAI rates in our PHO unit were comparable to those of developed countries and lower than those of developing countries and prior results from our country.Publication Hospital infections in the pediatric intensive care unit; 4-year evaluation, 2010-2013(Aves Yayincilik, Ibrahim Kara, 2015-06-01) Hacımustafaoğlu, Mustafa; ÇELEBİ, SOLMAZ; HACIMUSTAFAOĞLU, MUSTAFA KEMAL; Yeğin, Nilufer; ERGÜN ÖZDEL, ZEYNEP GİZEM; Ergün, Gizem; Çetin, Benhur Şirvan; Çelik, Taylan; Sali, Enes; Bursa Uludağ Üniversitesi/Tıp Fakültesi/Pediatri Anabilim Dalı.; 0000-0003-4646-660X; 0000-0002-8470-4907; H-2691-2017; KPY-7514-2024Objective: The purpose of this study is to evaluate the healthcare-associated infections (HCAIs) in the pediatric intensive care unit (PICU) during a 4-year period.Material and Methods: Pediatric patients between the age of 28 days and 18 years were included in the study. The Center for Diseases Control 2008 criteria were used for the diagnosis of HCAI. During the 4-year period (2010-2013), the number of children admitted to PICU was 1884, and the total bed-days were 15,082 days.Results: During the 4-year period, 139 HCAI episodes occurred in 89 children. Of the admitted children, 4.7% had at least one HCAI attack. We found that the HCAI rate and HCAI density were 7.3%, and 9.2 per 1000 patient-days, respectively. Within the two groups, all PICU patients and patients with an HCAI attack, the ages were 75.69 +/- 71.24 (median: 48) and 36.85 +/- 48.78 (median: 17) months (p< 0.001), respectively, and the length of hospital stay was 8.00 +/- 16.84 (median: 3) and 109.49 +/- 119.98 (median: 75) days (p< 0.001), respectively. The percentage of females was 51% (960/1884) and 33% (46/139) (p= 0.013) in all children admitted to PICU and those with HCAI attacks, respectively. The duration from admission to HCAI was 61.33 +/- 81.51 (median: 36) days. The most common principal accompanying diseases of the patients with HCAI attacks were neurological disease (20.9%; 29/139), solid-tissue malignancy (14.4%; 20/139), heart disease (12.9%; 18/139), chronic pulmonary disease (11.5%; 16/139), and chronic renal disease (8.6%; 12/139). The three most frequent HCAI types were ventilator-associated pneumonia (VAP; 28%), bloodstream infections (22%; with 12% having catheter-related bloodstream infections and 10% having bacteremia), and catheter-related urinary tract infections (15%). There was meaningful culture positivity in 90 of the 139 HCAI episodes (64%).Conclusion: Our PICU-HCAI rates are lower than those in the other studies in Turkey, and they are comparable with other studies conducted in developed countries. Our HCAIs occurred in the patients with an average age of 3 years. The most frequent HCAIs were pneumonia (including VAP), bloodstream, and urinary tract infections, and many of them were related to catheters.